NPI 1104081587

Wendy's Eyeglass Shack, INC.

Organisation Optician Peoria, IL

Practice location

Address: 8424 N Knoxville Ave, Peoria, IL 61615-2032
Phone: (309) 693-0100

Authorised official

Name: Wendy Ruth Smith
Title: Certified Optician
Phone: (309) 693-0100

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 136295 (IL)

Other Technician/Technologist providers in Illinois →

Registry record

NPI: 1104081587
Entity type: Organization
NPI issued: 24 Jul 2008
Record last updated: 21 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.